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NAME OF CHILD ADDRESS OF CHILD Include house number street apt. number P. O. Box rural route city state and ZIP code Form SSA-1724-F4 01-2010 EF 10-2012 Use Prior Editions Page 1 If any child listed in item 2 has a different name from that given at birth attach a separate sheet with the following information Child s Present Name Name Given At Birth and a brief explanation for the difference e.g. Marriage or Court Order. Form Approved OMB No* 0960-0101 Social Security Administration CLAIM FOR...

How to fill out ssa 1724 - socialsecurity

How to fill out SSA-1724-F4

1. Obtain the SSA-1724-F4 form from the Social Security Administration's website or local office.
2. Fill out Section 1 with your personal information, including your name, address, and phone number.
3. In Section 2, provide the deceased person's information, such as their name, Social Security number, and date of death.
4. Complete Section 3 by indicating your relationship to the deceased and any supporting documentation.
5. If needed, fill out Section 4 regarding your claim for payment.
6. Review all your entries for accuracy.
7. Sign and date the form in Section 5.
8. Submit the completed form either by mailing it or delivering it to your local Social Security office.

Who needs SSA-1724-F4?

1. Individuals who are claiming past due benefits for a deceased person.
2. Family members or representatives of the deceased individual seeking to request payment.
3. Anyone authorized to act on behalf of the executor or administrator of the deceased person's estate.

People Also Ask about

How do I claim my $255 death benefit?

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

Do you have to apply for the $255 Social Security death benefit?

In addition, a one-time lump sum death payment of $255 can be made to a qualifying spouse or child if they meet certain requirements. Survivors must apply for this payment within 2 years of the date of the number holder's death. You cannot apply for survivors benefits online.

Does everyone get the $255 death benefit from Social Security?

Do we pay death benefits? A one-time lump-sum death payment of $255 can be paid to the surviving spouse if they were living with the deceased. If living apart and they were receiving certain Social Security benefits on the deceased's record, they may be eligible for the lump-sum death payment.

What is an SSA-1724 form?

Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death.

How to fill out SSA-1724 form?

To complete a Form SSA-1724, you need to provide the following information: Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. Signature of applicant.

Do you have to fill out SSA-1724?

Form SSA-1724-F4 is also known as the Claim for Amounts Due in the Case of a Deceased Social Security Recipient. People should file this Form when a deceased relative was due to receive a payment from the Social Security Administration before their death.

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What is SSA-1724-F4?

SSA-1724-F4 is a form used by individuals to provide information to the Social Security Administration (SSA) regarding the appointment of someone to receive Social Security benefits on behalf of a minor or an adult who cannot manage their benefits.

Who is required to file SSA-1724-F4?

Individuals who wish to serve as a representative payee for a Social Security beneficiary, such as a minor child or an adult with disabilities, must file SSA-1724-F4.

How to fill out SSA-1724-F4?

To fill out SSA-1724-F4, the filer must provide personal information about themselves and the beneficiary, explain their relationship, and disclose any relevant details that could assist the SSA in making the appointment decision. It is important to follow the instructions provided on the form carefully.

What is the purpose of SSA-1724-F4?

The purpose of SSA-1724-F4 is to establish a legal appointment of a representative payee who will manage Social Security benefits for individuals who are unable to do so themselves.

What information must be reported on SSA-1724-F4?

The form requires reporting personal information of both the claimant and the proposed payee, including names, addresses, Social Security numbers, and details about the nature of the relationships.